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Alok Tiwari, Tze T Chong, Stewart R Walsh, Alun H Davies, Tjun Y Tang
No abstract text is available yet for this article.
January 1, 2018: Phlebology
François-André Allaert, Didier Rastel, Anne Graissaguel, Delphine Sion, Claudine Hamel-Desnos
Background Patients' adherence to elastic compression stockings is difficult to evaluate, and therefore we create a short self-questionnaire and validate its psychometric properties. Methods We reduce the questions with Varimed rotation analysis, evaluate its internal consistency using Cronbach's alpha test and its external validity by comparison to electronic thermic captors. Receiver operating characteristic (ROC) analysis was used to determine a threshold and determine its sensitivity and specificity. Results The initial questionnaire was reduced from 22 to 5 questions rated from 0 to 4...
January 1, 2018: Phlebology
Sergio Gianesini, Francesco Sisini, Erica Menegatti, Giovanni Di Domenico, Mauro Gambaccini, Savino Occhionorelli, Paolo Zamboni
Background In physiology, velocity of the deep venous compartment is higher than the one in the saphenous compartment which is higher than the one in the tributaries. Considering that velocity variation is associated with changes in the pressure gradient, aim of the present study is to assess changes in venous kinetics in case of superficial chronic venous disease, so to provide further clues in venous drainage direction determination. Methods Venous ultrasound scanning was performed on 40 lower limbs of 28 chronic venous disease patients (C2-6Ep,As,Pr)...
January 1, 2018: Phlebology
Timme Maj van Vuuren, Suat Doganci, Irwin M Toonder, Rick De Graaf, Cees Ha Wittens
Purpose Deep venous thrombosis causes blood flow deviation. It is hypothesized that with stent placement, developed collateral veins become redundant. This article evaluates the relation between the surface area of the collaterals and stent patency. Methods The azygos and hemiazygos veins were identified and the largest surface area was measured at thoracic level. Patency rates of stented tracts were evaluated and related to collateral vein lumen size. Results The vena cava occlusion and the azygos and hemiazygos vein surface area measurements were positive and statistically significant related (OR 1...
January 1, 2018: Phlebology
Melvin Rosenblatt
No abstract text is available yet for this article.
January 1, 2018: Phlebology
Mohammad E Barbati, Alexander Gombert, Irwin Toonder, Timme Maj van Vuuren, Karina Schleimer, Jochen Grommes, Cees Ha Wittens, Houman Jalaie
Background Patients with post-thrombotic syndrome due to chronic venous obstruction and resistant to conservative management can benefit from endovenous revascularization. The current study investigated the usefulness of duplex ultrasound in monitoring the stent changes over the time. Method All duplex ultrasound images of treated patients were reviewed retrospectively. The stent diameter and area during the follow-up visits have been analyzed. Result A total of 210 stents were placed in 137 limbs. Duplex ultrasound findings showed a decrease in area of stent in all patients (mean: 0...
January 1, 2018: Phlebology
P Kern
Objective Telangiectasias of the lower legs are intradermal dilatations of the subpapillary venous plexus, but their pathophysiology and risk factors are still largely unknown. The purpose of this review is to summarize the current knowledge on the pathophysiology and risk factors for telangiectasias. Methods A systematic review of the literature indexed in Medline completed with textbooks and European phlebology journals from the French, Swiss, and German phlebology societies was performed. Results A multitude of risk factors and several pathophysiological hypotheses, such as reflux, arterio-venous micro-shunts, parietal, and connective tissue abnormalities, are described in the literature...
January 1, 2018: Phlebology
Orsini Camillo
Objective This retrospective study presents the long-term results of catheter-directed foam sclerotherapy of the great saphenous vein. Method From January 2003 to June 2017, 277 patients with varices and great saphenous vein incompetence were treated with echo-guided foam sclerotherapy. Forty-six patients were treated with long-catheters guided by foam sclerotherapy. Foaming was carried out with sodium-tetra-decyl-sulphate. Results Results were examined in the two groups: A (long-catheters) and B (other procedures)...
January 1, 2018: Phlebology
Benjamin Vincent, Vijaya Thakur, Anjani Thakur
Background In spite of an increasing Latino population and accompanying rise in demand for health care, not much is known about patient-satisfaction in Spanish-speaking patients and how to improve patient-satisfaction when using interpreters. We sought to compare patient-satisfaction with vein surgery office visits between English-speaking and Spanish-speaking patients. Methods Directly before and after the office visit, 126 patients completed a socio-demographic survey, a five-point ordinal rating survey of physician and interpreter satisfaction with the encounter...
January 1, 2018: Phlebology
Alberto Caggiati, Marianne De Maeseneer, Attilio Cavezzi, Giovanni Mosti, Nick Morrison
Background To date, no document comprehensively focused on the complex issue of the rehabilitation of chronic venous diseases of the lower limbs. Method This article overviews and summarizes current strategies concerning venous rehabilitation of lower limbs. Results Venous rehabilitation is based on four main strategies: (1) lifestyle adaptations and occupational therapies; (2) physical therapies; (3) adapted physical activities; (4) psychological and social support. Rehabilitative protocols must be tailored to the specific needs of each patient, depending on the severity of chronic venous disease and on the location and pattern of venous lesion(s), but also on age, motor deficits, co-morbidities and psychosocial conditions...
January 1, 2018: Phlebology
David M Duffy
No abstract text is available yet for this article.
January 1, 2018: Phlebology
Ronald Bush, Peggy Bush
No abstract text is available yet for this article.
January 1, 2018: Phlebology
Mark S Whiteley, Emma B Dabbs
No abstract text is available yet for this article.
January 1, 2018: Phlebology
Hitoshi Kusagawa, Naoki Haruta, Ryo Shinhara, Yuji Hoshino, Atsushi Tabuchi, Hiromitsu Sugawara, Koji Shinozaki, Kenji Matsuzaki, Hidetoshi Nagata, Hiroyuki Niihara, Kunie Kohno, Ryoji Takeda
Objectives To clarify the surgical methods and the clinical results of subfascial endoscopic perforator surgery in Japan. Methods This study included 1287 limbs of 1091 patients who underwent subfascial endoscopic perforator surgery in 14 hospitals. Simultaneous saphenous vein treatment was performed in 1079 limbs (83.8%), and 118 limbs (9.2%) had deep venous lesions. The venous clinical severity score was calculated before and 6 to 12 months after surgery. The ulcer healing rate and ulcer recurrence rate were calculated cumulatively...
January 1, 2018: Phlebology
Katherine Hulme, Thodur Vasudevan
No abstract text is available yet for this article.
March 2018: Phlebology
Adem I Diken, Adnan Yalçınkaya, Muhammet O Hanedan, Mehmet E Erol, Özlem Ercen Diken
Background Standard treatment for deep venous thromboembolism involves parenteral anticoagulation overlapping with a vitamin K antagonist, an approach that is effective but associated with limitations including the need for frequent coagulation monitoring. The direct oral anticoagulant rivaroxaban is similarly effective to standard therapy as a single-drug treatment for venous thromboembolism and does not require routine coagulation monitoring. The aim of this analysis was to project the long-term costs and outcomes for rivaroxaban compared to standard of care (tinzaparin/warfarin)...
February 2018: Phlebology
Jean-François Uhl, Jean-Patrick Benigni, Maxime Chahim, Delinotte Fréderic
Background Patient compliance is the cornerstone of compression therapy success. However, there has been up to now no tool to assess it other than self-reporting by the patient, which is not reliable. Material and methods Forty active females classified C2S were enrolled to wear compression stockings (CS) providing a pressure of 15-20 mmHg at the ankle. A thermal probe was inserted in the stocking (Thermotrack®), recording the skin temperature every 20 min for four weeks. The patients were randomized in two groups of 20: - Group 1: Receiving minimal recommendations by their physician at the office...
February 2018: Phlebology
(no author information available yet)
No abstract text is available yet for this article.
December 2017: Phlebology
Erdinc Eroglu, Alptekin Yasim, Murat Ari, Hasan Ekerbicer, Aydemir Kocarslan, Mehmet Kabalci, Mehmet Acıpayam
Aim To present mid-term results of patients with varicose veins treated with N-butyl cyanoacrylate (VariClose®), a nontumescent endovenous ablation technique. Patients and method Endovenous ablation was performed on 180 patients with saphenous vein incompetence between May and October 2014. One hundred sixty-eight subjects capable of being followed-up for 30 months were included. Patients' pre- and postoperative data were recorded. Results Procedures were performed on the great saphenous vein in 159 patients and on the small saphenous vein in nine patients...
December 2017: Phlebology
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